| Name Of the Firm : | Siva Medicine Store |
| Zone : | CENTRAL |
| Range : | Khordha |
| Police Station : | |
| Address : | Pl. No 270, Khata No. 349, At/Po- Sunakhala, Ps- Banpur, Dist- Khurda |
| RP Name : | Sri Prahallad Behera |
| Registration Number : | 21134/OPC |
| Competent Person : | |
| Qualification : | D. Pharma |
| Name of the Proprietor : | Sri Sanjaya Kumar Setha |
| R : | KH 26071 |
| RC : | KH 26072 |
| RX : | KH 10062 |
| RR : | |
| RRC : | |
| W : | |
| WC : | |
| WX : | |
| Date of Issue : | 1/3/2011 |
| Date of Expiry : | 1/2/2016 |
| Remarks : |